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Individual

MR. JUSTIN THOMAS DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
501 N PARK AVE STE 120, TUCSON, AZ 85719-5034
(520) 284-9200
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MED CENTER ATTEN: MCHK-QS, TRIPLER AMC, HI 96859-5000
(808) 433-2460
(808) 433-1588

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
04/11/2006
Last updated
05/10/2019
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